Degenerative and Comorbid Conditions in Workers’ Compensation

By Dongchun Wang, Kathryn Mueller, Randall Lea, M.D.

March 27, 2025 Related Topics: Behavioral Health, Indemnity Benefits, Medical Costs, Worker Outcomes

Degenerative and comorbid conditions often coexist with primary work-related injuries, complicating treatment and recovery, leading to increased costs and extended duration of temporary disability. 

This study compares claims with and without comorbidities, as well as those involving one or multiple comorbid conditions. It highlights the importance of early detection and intervention to reduce the impact of these conditions on claim costs and outcomes. 

The analysis for this study is based on 930,000 claims with more than seven days of lost time across 32 states. The report includes measures on medical payments, indemnity benefits, and duration of temporary disability.

Degenerative and Comorbid Conditions in Workers’ Compensation. Dongchun Wang, Randall D. Lea, and Kathyrn L. Mueller. March 2025. WC-25-20.

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Research Questions:

  • How common are degenerative comorbidities, such as degenerative disc disease and osteoarthritis, and how do they vary by injury type? 
  • What is the frequency of other comorbidities, including hypertension, substance use, mental health conditions, diabetes, and obesity, and how often do claims involve multiple comorbidities? 
  • How do comorbidities impact claim costs and the duration of temporary disability compared to claims without these conditions?

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